Uric acid , umkhiqizo ojwayelekile, ingumphumela wokuphela kwe-purine metabolism. Ama-purines amakhemikhali akhona ngokwemvelo atholakala emizimbeni yethu nasekudleni kwethu. Ngokuvamile, i-uric acid iyancibilika egazini iqhutshwa ngezinso futhi isuswa emzimbeni kumchamo. Isimo, esaziwa ngokuthi i-hyperuricemia (amazinga aphezulu e-uric acid egazini), kungenzeka uma kukhona ukwehla kwe-uric acid noma ekukhiqizeni ukwanda kwe-uric acid.
I-hyperuricemia nayo ingabangela ukuhlanganiswa kokungahambisani nokungena ngokweqile. Ama-akhawunti angaphansi kwe-excretion amaningi wamacala we-hyperuricemia. Ukukhiqiza ngokweqile inani lezinkinga ezincane ze-hyperuricemia. Ukusabalalisa kwe-asymptomatic (ngaphandle kwempawu) i-hyperuricemia kubantu abaningi kulinganiselwa ukuthi iphakathi kuka-2% no-13%.
Cishe ingxenye eyodwa kwezintathu zobuningi bomzimba (i-uric acid) ikhiqizwa ngokungapheli (ngaphakathi komzimba), kuyilapho ingxenye yesithathu esele ibalwa yi-metabolism ye-purines yokudla. Cishe u-70% we-urate okhiqizwa nsuku zonke uyadabuka izinso, kanti okusele kuqedwe ngamathumbu.
I-Acric Acid Blood Test
Uhlobo olujwayelekile lwe-uric acid test test luphakathi kuka 3.5 no 7.2 mg / dL. Kufanele uqaphele ukuthi ama-laboratories ahlukene angase abe nezindawo ezahlukene zokubhekisela ezijwayelekile. I-Hyperuricemia, ngokuqondile, ichazwa njengezinga legazi le-uric acid elingaphezulu kuka-7mg / dL lamadoda futhi likhulu kune-6mg / dL yabesifazane.
Uric Acid Crystal Formation
Nakuba i-hyperuricemia ngokwayo ayisona isifo, futhi ngezinye izimo ingabangeli izinkinga, isimo eside somuthi wokuxuba singase sikholele ekuthuthukiseni amakristalu. I-crystals ye-uric acid ehlobene ne-gout. Kodwa, ngisho nokukwazi lokho, ubudlelwane phakathi kwe-hyperuricemia ne-gout akucaci ngokuphelele.
Iziguli eziningi ezine-hyperuricemia azihlaziyi i-gout - kanti ezinye iziguli ezinokuhlaselwa kwe- gout eziphindaphindiwe zinamazinga ajwayelekile noma aphansi we-uric acid. Iphesenti elincane kuphela labantu abane-hyperuricemia empeleni bayaqhubeka nokuthuthukisa igciwane.
Ama-crystals e-uric acid, uma efakwe kumalungu, angabangela ubuhlungu obuhlangene, ukuvuvukala okuhlangene, ukuqina okuhlangene, ukukhubazeka okuhlangene, nokuhamba okulinganiselwe kokunyakaza. Uma i-gout ikhula, imikhombandlela yase-American College of Rheumatology ekuphathweni kwe-gout (2012) incoma ukuthi amazinga e-uric acid agcinwe ezingeni elingaphansi kwe-6 mg / dL ukuvimbela ukuhlaselwa kwe-gout okuphindaphindiwe.
Ama-crystals e-uric acid nawo angafakwa ezintsheni. Ama-crystals e-uric acid ezinsweni angabangela ukuba izinso ze-kidney zakha futhi zingabangela ukugula kwezinso noma ukwehluleka kwezinso.
Izingozi Zengozi Ezihlobene Ne-Hyperuricemia
I-Hyperuricemia ihlotshaniswa nezinto eziyingozi, njenge-dysglycemia (ukuphazamiseka kweshukela egazini), i-dyslipidemia (i-lipid disorders), ukukhuluphala, nokucindezela kwegazi okungavamile - okubizwa nangokuthi i-syndrome ye-metabolic. I-hyperuricemia ingabangelwa indlela yokuphila engenampilo, ikakhulukazi, ukudla okunomsoco okuphezulu kuma-purines, amaprotheni, utshwala, nama-carbohydrate.
Nakuba kubalulekile ukunaka izici ezingozi ezingaguquguquki, njengokudla nokuphila, lokho okuwukuphela kwesikwanele okwanele ukulawula ukuphathwa kwegazi.
Kuyaphawuleka nokuthi imithi ethile ingangandisa ingozi yegazi, okubandakanya i-thiazides, i-loop diuretics, ne-aspirin ephansi.
Okubalulekile
Isimo eside se-hyperuricemia, noma i-hyperuricemia engapheli, ihlobene nengozi enkulu yokuthuthukisa igciwane. Ukukhipha i-Crystal kungumphumela we-hyperuricemia engabangela ukugula noma isifo sezinso. Ukugcina izinga le-uric acid elingaphansi kwe-6 mg / dL kubalulekile kubantu abathintekayo abanegciwane ukuvimbela ukuhlaselwa okuphindaphindiwe.
> Imithombo:
> I-Acric Acid - Igazi. I-MedlinePlus. 4/29/2013.
> Hyperuricemia Esingapheli, i-Uric Acid Deposit, ne-Risk Cardiovascular Risk. Grassi D. et al. Umklamo wamanje weMithi. April 2013.
> I-Gout ne-Hyperuricemia. I-National Kidney Foundation.